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NUR3632 FOUNDATIONS EXAM 3 STUDY
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NUR3632 FOUNDATIONS EXAM 3 STUDY
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NUR3632 FOUNDATIONS EXAM 3STUDY
Chapters6
1.sAsnursescaringsforspatientssinsthesintensivescaresunitsdevelopssvaluessfromsexperiencest
osformsaspersonalscodesofsethics.sWhichsstatementssbestsdescribesascharacteristicsofsthes
developmentsofsaspersonalsvaluessystem?sSelectsallsthatsapply.
Peoplesaresbornswithsvalues.
Valuessactsassstandardsstosguidesbehavior.
Valuessaresrankedsonsascontinuumsofsimportance.
Valuessinfluencesbeliefssaboutshealthsandsillness.
Valuessystemssaresnotsrelatedstospersonalscodessofsconduct.
Nursessshouldsnotsletstheirsvaluessinfluencespatientscare.s-sans--
1.sb,sc,sd.sAsvaluesissasbeliefsaboutsthesworthsofssomething,saboutswhatsmatters,swhichsact
ssassasstandardstosguidesone'ssbehavior.sAsvaluessystemsissansorganizationsofsvaluessinsw
hichseachsissrankedsalongsascontinuumsofsimportance,softensleadingstosaspersonalscodesof
sconduct.sAsperson'ssvaluessinfluencesbeliefssaboutshumansneeds,shealth,sandsillness;sthe
spracticesofshealthsbehaviors;sandshumansresponsesstosillness.sValuessguidesthespractices
ofsnursingscare.sAnsindividualsissnotsbornswithsvalues;srather,svaluessaresformedsduringsasli
fetimesfromsinformationsfromsthesenvironment,sfamily,sandsculture.
2.sFive-year-
oldsBobbyshassdietarysmodificationssrelatedstoshissdiabetes.sHissparentsswantshimstosvalu
esgoodsnutritionalshabitssandstheysdecidestosdepriveshimsofsasfavoritesTVsprogramswhensh
esbecomessangrysafterstheysdenyshimsfoodssnotsonshissdiet.sThississansexamplesofswhatsm
odesofsvaluestransmission?
Modeling
Moralizing
Laissez-faire
Rewardingsandspunishings-sans--
2.sd.Whensrewardingsandspunishingsaresusedstostransmitsvalues,schildrensaresrewardedsf
orsdemonstratingsvaluessheldsbysparentssandspunishedsforsdemonstratingsunacceptablesv
alues.sThroughsmodeling,schildrenslearnswhatsissofshighsorslowsvaluesbysobservingsparent
s,speers,sandssignificantsothers.sChildrenswhosescaregiverssusesthesmoralizingsmodesofsv
aluestransmissionsarestaughtsascompletesvaluessystemsbysparentssorsansinstitutions(e.g.,sc
hurchsorsschool)sthatsallowsslittlesopportunitysforsthemstosweighsdifferentsvalues.sThoseswh
osusestheslaissez-
fairesapproachstosvaluestransmissionsleaveschildrenstosexploresvaluessonstheirsowns(nossin
glessetsofsvaluessisspresentedsassbestsforsall)sandstosdevelopsaspersonalsvaluessystem.
,3.sAsnurseswhosissworkingsinsashospitalssettingsaftersgraduationsfromsaslocalscollegesusess
valuesclarificationstoshelpsunderstandsthesvaluessthatsmotivatespatientsbehavior.sWhichsex
amplessdenotes"prizing"sinsthesprocesssofsvaluessclarification?sSelectsallsthatsapply.
Aspatientsdecidesstosquitssmokingsfollowingsasdiagnosissofslungscancer.
Aspatientsshowssoffsasnewsoutfitsthatsshesisswearingsafterslosings20spounds.
Aspatientschoosesstosworksfewershourssfollowingsasstress-relatedsmyocardialsinfarction.
Aspatientsincorporatessasnewslow-cholesterolsdietsintoshissdailysroutine.
Aspatientsjoinssasgymsandsschedulessclassessthroughoutsthesyear.
Aspatientsproudlysdisplaysshisscertificatesforscompletingsasmarathon.s-sans--
3.sb,sf.sPrizingssomethingsonesvaluessinvolvesspride,shappiness,sandspublicsaffirmation,ssu
chsasslosingsweightsorsrunningsasmarathon.sWhenschoosing,soneschoosessfreelysfromsalte
rnativessafterscarefulsconsiderationsofsthesconsequencessofseachsalternative,ssuchsassquit
tingssmokingsandsworkingsfewershours.sFinally,sthespersonswhosvaluesssomethingsactssby
scombiningschoicesintosone'ssbehaviorswithsconsistencysandsregularitysonsthesvalue,ssuchs
assjoiningsasgymsforsthesyearsandsfollowingsaslow-cholesterolsdietsfaithfully.
4.sThesAmericansAssociationsofsCollegessofsNursingsidentifiedsfivesvaluessthatsepitomizest
hescaringsprofessionalsnurse.sWhichsofsthesesissbestsdescribedsassactingsinsaccordancesw
ithsansappropriatescodesofsethicssandsacceptedsstandardssofspractice?
Altruism
Autonomy
Humansdignity
Integritys-sans--
4.sd.sThesAmericansAssociationsofsCollegessofsNursingsdefinessintegritysassactingsinsaccor
danceswithsansappropriatescodesofsethicssandsacceptedsstandardssofspractice.sAltruismsiss
asconcernsforstheswelfaresandswell-beingsofsothers.sAutonomysissthesrightstosself-
determination,sandshumansdignitysissrespectsforsthesinherentsworthsandsuniquenesssofsind
ividualssandspopulations.
5.sAsprofessionalsnurseswithsascommitmentstossocialsjusticesissmostsaptsto:
Provideshonestsinformationstospatientssandsthespublic
Promotesuniversalsaccessstoshealthscare
Planscaresinspartnershipswithspatients
Documentscaresaccuratelysandshonestlys-sans--
5.sb.sThesAmericansAssociationsofsCollegessofsNursingslistsspromotingsuniversalsaccessst
oshealthscaresassansexamplesofssocialsjustice.sProvidingshonestsinformationsandsdocumen
tingscaresaccuratelysandshonestlysaresexamplessofsintegrity,sandsplanningscaresinspartners
hipswithspatientssissansexamplesofsautonomy.
6.sWhensansoldersnursescomplainsstosasyoungersnursesthatsnursessjustsaren'tsethicalsany
more,swhichsreplysreflectssthesbestsunderstandingsofsmoralsdevelopment?
"Behavingsethicallysdevelopssgraduallysfromschildhood;smaybesmysgenerationsdoesn'tsval
uesthissenoughstosdevelopsansethicalscode."
"Isdon'tsagreesthatsnursessweresmoresethicalsinsthespast.sIt'ssasnewsagesandsthesethicssares
new!"
,"Ethicssissgeneticallysdetermineds...sit'sslikeshavingsbluesorsbrownseyes.sMaybeswe'resevol
vingsoutsofsthesethicalssensesyoursgenerationshad."
"Isagree!sIt'ssimpossiblestosbesethicalswhensworkingsinsaspracticessettingslikesthis!"s-sans--
6.sa.sThesabilitystosbesethical,stosmakesdecisions,sandstosactsinsansethicallysjustifiedsmanne
rsbeginssinschildhoodsandsdevelopssgradually
7.sAshomeshealthsnurseswhosperformssascarefulssafetysassessmentsofstheshomesofsasfrails
elderlyspatientstospreventsharmstosthespatientsissactingsinsaccordanceswithswhichsofsthespri
nciplessofsbioethics?
Autonomy
Beneficence
Justice
Fidelity
Nonmaleficences-sans--
7.se.sNonmaleficencesissdefinedsassthesobligationstospreventsharm.sAutonomysissrespectsf
orsanother'ssrightstosmakesdecisions,sbeneficencesobligatessusstosbenefitsthespatient,sjusti
cesobligatessusstosactsfairly,sandsfidelitysobligatessusstoskeepsourspromises.
8.sAsprofessionalsnursescommittedstosthesprinciplesofsautonomyswouldsbescarefulsto:
Providesthesinformationsandssupportsaspatientsneededstosmakesdecisionsstosadvancesone'
ssownsinterests
Treatseachspatientsfairly,stryingstosgiveseveryoneshissorshersdue
Keepsanyspromisessmadestosaspatientsorsanothersprofessionalscaregiver
Avoidscausingsharmstosaspatients-sans--
8.sa.sThesprinciplesofsautonomysobligatessnursesstosprovidesthesinformationsandssupportsp
atientssandstheirssurrogatessneedstosmakesdecisionssthatsadvancestheirsinterests.sActings
withsjusticesmeanssgivingseachspersonshissorshersdue,sactingswithsfidelitysinvolvesskeeping
spromisesstospatients,sandsactingswithsnonmaleficencesmeanssavoidingsdoingsharmstospati
ents.
9.sJanieswantsstoscallsansethicssconsultstosclarifystreatmentsgoalssforsaspatientsnoslongersa
blestosspeaksforshimself.sShesbelievesshissdyingsissbeingsprolongedspainfully.sShesisstroubl
edswhensthespatient'ssdoctorstellsshersthatsshe'llsbesfiredsifsshesraisessquestionssaboutshiss
caresorscallssthesconsult.sThississasgoodsexamplesof:
Ethicalsuncertainty
Ethicalsdistress
Ethicalsdilemma
Ethicalsresidues-sans--
9.sb.sEthicalsdistresssresultssfromsknowingsthesrightsthingstosdosbutsfindingsitsalmostsimpos
siblestosexecutesbecausesofsinstitutionalsorsothersconstraintss(insthisscase,sfearsofslosingsh
ersjob).sEthicalsuncertaintysresultssfromsfeelingstroubledsbysassituationsbutsnotsknowingsifsit
sissansethicalsproblem.sEthicalsdilemmassoccurswhensthesprinciplessofsbioethicssjustifystwos
orsmoresconflictingscoursessofsaction.sEthicalsresiduesisswhatsnursessexperienceswhensthe
ysseriouslyscompromisesthemselvessorsallowsthemselvesstosbescompromised.
, 10.sAsstudentsnursesbeginssasclinicalsrotationsinsaslong-
termscaresfacilitysandsquicklysrealizessthatscertainsresidentsshavesunmetsneeds.sThesstud
entswantsstosadvocatesforsthesesresidents.sWhichsstatementssreflectsascorrectsunderstand
ingsofsadvocacy?sSelectsallsthatsapply.
Advocacysissthesprotectionsandssupportsofsanother'ssrights.
Patientsadvocacysissprimarilysdonesbysnurses.
Patientsswithsspecialsadvocacysneedssincludesthesverysyoungsandstheselderly,sthoseswhos
aresseriouslysill,sandsthoseswithsdisabilities.
Nursesadvocatessmakesgoodshealthscaresdecisionssforspatientssandsresidents.
Nursesadvocatessdoswhateverspatientssandsresidentsswant.
Effectivesadvocacysmaysentailsbecomingspoliticallysactive.s-sans--
10.sa,sc,sf.sAdvocacysissthesprotectionsandssupportsofsanother'ssrights.sAmongsthespatients
swithsspecialsadvocacysneedssaresthesverysyoungsandstheselderly,sthoseswhosaresseriousl
ysill,sandsthoseswithsdisabilities;sthississnotsascomprehensiveslist.sEffectivesadvocacysmays
entailsbecomingspoliticallysactive.sPatientsadvocacysissthesresponsibilitysofseverysmembers
ofsthesprofessionalscaregivingsteam—
notsjustsnurses.sNursesadvocatessdosnotsmakeshealthscaresdecisionssforstheirspatientssan
dsresidents.sInstead,stheysfacilitatestheirsdecisionsmaking.sAdvocacysdoessnotsentailssupp
ortingspatientssinsallstheirspreferences.
Chapters7
1.sAsstatesattorneysdecidesstoschargesasnurseswithsmanslaughtersforsallegedlysadministeri
ngsaslethalsmedication.sThississansexamplesofswhatstypesofslaw?
Publicslaw
Privateslaw
Civilslaw
Criminalslaws-sans--
1.sd.sCriminalslawsconcernssstatesandsfederalscriminalsstatutes,swhichsdefinescriminalsacti
onsssuchsassmurder,smanslaughter,scriminalsnegligence,stheft,sandsillegalspossessionsofsd
rugs.sPublicslawsregulatessrelationshipssbetweenspeoplesandsthesgovernment.sPrivatesors
civilslawsincludesslawssrelatingstoscontracts,sownershipsofsproperty,sandsthespracticesofsnur
sing,smedicine,spharmacy,sandsdentistry.
2.sNewlyshiredsnursessinsasbusyssuburbanshospitalsaresrequiredstosreadsthesstatesNursesP
racticesActsasspartsofstheirstraining.sWhichstopicssarescoveredsbysthissact?
sSelectsallsthatsapply.
Violationssthatsmaysresultsinsdisciplinarysaction
Clinicalsprocedures
Medicationsadministration
Scopesofspractice
Delegationspolicies
Medicaresreimbursements-sans--
2.sa,sd.sEachsstateshassasNursesPracticesActsthatsprotectssthespublicsbysbroadlysdefiningsth
eslegalsscopesofsnursingspractice.sPracticingsbeyondsthoseslimitssmakessnursessvulnerabl
estoschargessofsviolatingsthesstatesNursesPracticesAct.sNursesPracticesActssalsosliststhesvio
lationssthatscansresultsinsdisciplinarysactionssagainstsnurses.sClinicalsproceduressarescove
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